Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Fractures
- Sponsor
- Mahidol University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- numerical rating scale at rest
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward.
The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
Detailed Description
The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
Investigators
Suwimon Tangwiwat
Department of Anesthesiology
Mahidol University
Eligibility Criteria
Inclusion Criteria
- •patient age equal or more than 65 years old
- •patient with acute hip fracture within 7 days
- •patient with NRS ≥ 5
Exclusion Criteria
- •patient refusal
- •history of local anesthetic allergy
- •inability to communicate or cognitive dysfunction
- •multiple fracture involvement
Outcomes
Primary Outcomes
numerical rating scale at rest
Time Frame: Change from baseline numerical rating scale at 30 minutes post-block
numerical rating scale 0-10 (0=no pain, 10=worst pain)
numerical rating scale during movement
Time Frame: Change from baseline numerical rating scale at 30 minutes post-block
numerical rating scale 0-10 (0=no pain, 10=worst pain)
Secondary Outcomes
- Duration of hospital admission(from hospital admission until hospital discharge, an average of 1 week)
- Numerical rating scale during movement(Within 48 hours postoperative)
- Rate of complications of continuous fascia iliaca compartment analgesia(Within 48 hours postoperative)
- Number of participants with morbidity and mortality(6 weeks after hospital discharge)